Nicole Quiroz

***** ********* ****** ** ****** CA 91744

aduyeb@r.postjobfree.com

626-***-****

Objective:

To obtain employment as a professional entry level position that will utilize my coding, customer service, skills, and billing abilities within a steady paced office environment. Skills:

● CPT-Coding

● ICD-9/ICD-10 Coding

● HCPCS Coding

● CDT

● CMS-1500 Claims

● New CMS-1500 02/12

● UB-04

● ADA Forms

● PPO/HMO/EPO/IPA

● Medicare/Medi-Cal

● Medical Insurance

● Insurance Billing

● Medical Billing

● Collections

● Workers’ Compensations

● Medisoft 8th Edition

● Medical Terminology

● Keyboarding 45-55 wpm

● Microsoft/Excel/PowerPoint

● Provider Disputes

● BrightTree

● EAMS/EDEX

● Addmidistep

● Quickcap

Experience:

klean treatment center 08/2018-10/2018

● called and emailed with patients regarding insurance policies and payments for treatment

● ran A/R reports thru spreadsheets

● called and verified insurance

● filed and scanned paperwork into computer system Team Health 03/2018-07/2018

● verified eligibility

● inputted correct insurance information into patient data

● called and use insurance companies websites to verify patient insurance

● mailed out letters to insurance companies as well as patients USCB America 04/2017-10/2017

● Worked under 3 different hospitals

● Did follow up for children’s hospital of Los Angeles

● Did follow up for UCSD

● Closed accounts

● Did adjustments for accounts

● Billed out for UCLA HARBOR LACO

● Called and verified eligibility

● Sent out pt. letters

● Billed inpt and outpt facility claims

● Worked correspondence

● Billed out to Medi-cal, Medi-Medi, Medicare, commercial insurances MV Medical Management 11/2015-04/2017

● Pre logged provider disputes

● Determined weather provider disputes letters where actual disputes

● Took phone calls from providers and researched claims and PDRs and let providers know whether the disputes were paid or denied or even received

● Sent out acknowledgement/resolution letters

● Processed PDR’s

● Created reports for how many PDR’s were pre logged

● Pre logged misdirected claims

● Checked members eligibility with the IPA for IEHP

● Checked medical rate on medical website

● Pulled claims for audits

● Reviewed PDR’s for audits and checked if they were paid correctly Synergy Medical Solutions 08/2015-10/2015

● Claims adjudicator (pccv)

● Reviews and looks over claims

● Denys and approves cpt codes

● Used admidistep

Progressive Orthopedic Solutions- externship 06/2015-07/2015

● Created demands and recons for workers comp cases

● Created files

● Imputed patients information onto Bright Tree

● Looked up patients information using EAMS and EDEX

● Called adjustors and attorneys for information on workers comp cases Volunteered at University of Southern California-Public safety Dept. 2004-2007

● Filed paper work

● Separated pay checks and filled them in employees mail boxes

● Inputted data into the computers

Education:

2014-Present UEI College El Monte, CA

● Medical Billing and Insurance Coding

July2011-June2012 Long Beach City College Long Beach, CA

● Culinary Arts

January2008-June2008 West Covina High West Covina, CA Reference:Available Upon Request

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